{"id":4297,"date":"2017-04-17T04:56:22","date_gmt":"2017-04-17T02:56:22","guid":{"rendered":"http:\/\/news-papers.eu\/?p=4297"},"modified":"2017-04-12T07:57:05","modified_gmt":"2017-04-12T05:57:05","slug":"surviving-sepsis-campaign-2017-teil-2","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=4297","title":{"rendered":"Surviving Sepsis Campaign 2017 &#8211; Teil 2"},"content":{"rendered":"<p style=\"text-align: justify;\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3748\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=3748\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=500%2C343&amp;ssl=1\" data-orig-size=\"500,343\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto 2017-01-23 um 07.57.24\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=300%2C206&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=1024%2C702&amp;ssl=1\" class=\"size-medium wp-image-3748 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24.png?resize=300%2C206\" alt=\"\" width=\"300\" height=\"206\" \/>Die 2016er\u00a0<strong>&#8222;Surviving Sepsis Campaign&#8220;<\/strong> Empfehlungen zur Behandlung der Sepsis sind publiziert worden. Wir sind bereits in einem <a href=\"http:\/\/news-papers.eu\/surviving-sepsis-campaign-2017\" target=\"_blank\"><strong>ersten Teil<\/strong><\/a> auf einige Punkte eingegangen, nun weitere Aspekte:\u00a0Lesen Sie die komplette Leitlinie unter:\u00a0<strong><a href=\"http:\/\/journals.lww.com\/ccmjournal\/Abstract\/publishahead\/Surviving_Sepsis_Campaign___International.96723.aspx\" target=\"_blank\">PDF<\/a><\/strong><\/p>\n<hr \/>\n<p style=\"text-align: justify;\"><span style=\"color: #800000;\"><strong>KORIKOSTEROIDE<\/strong><\/span><\/p>\n<ul>\n<li style=\"text-align: justify;\"><strong>kein Hydrokortison<\/strong>, wenn Volumen- und Vasopressortherapie zur h\u00e4modynamischen Stabilit\u00e4t f\u00fchren; bei persistierender h\u00e4modynamischer Instabilit\u00e4t ist \u00a0200mg Hydrokortison als Tagesdosis m\u00f6glich<\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong>BLUTPRODUKTE<\/strong><\/span><\/p>\n<ul>\n<li><strong>Hb-Trigger zur Transfusion<\/strong> (Transfusionstrigger) von Erythrozythenkonzentraten im Regelfall 7,0 g\/dl bei Fehlen von myokardialer Isch\u00e4mie,\u00a0schwerer Hypox\u00e4mie oder akuter Blutung (Basis der Empfehlung: TRISS-Studie)<\/li>\n<li><strong>keine Erythropoetin<\/strong><\/li>\n<li><strong>keine FFP<\/strong> ohne klinischmanifeste Blutung, ohne bevorstehende Operation<\/li>\n<li>Gabe von <strong>Thrombozytenkonzentraten<\/strong>, wenn &lt;10.000\/\u03bcl ohne klinische Blutung, &lt;20.000\/\u03bcl mit\u00a0klinischer Blutung, &gt;50.000\/\u03bcl bei Blutung oder Eingriffen<\/li>\n<\/ul>\n<hr \/>\n<p style=\"text-align: justify;\"><span style=\"color: #800000;\"><strong>IMMUNGLOBULINE<\/strong><\/span><\/p>\n<ul>\n<li style=\"text-align: justify;\">keine Immunglobuline<\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong>BEATMUNG bei ARDS<\/strong><\/span><\/p>\n<ul>\n<li><strong>Tidalvolumen 6ml\/kg K\u00f6rpergewicht<\/strong><\/li>\n<li><strong>Plateaudruck &lt;30 cmH2O<\/strong><\/li>\n<li><strong>PEEP eher im h\u00f6heren Bereich<\/strong><\/li>\n<li>Rekrutierungsman\u00f6ver<\/li>\n<li>Bauchlage bei paO2\/FIO2 &lt;150mmHg<\/li>\n<li>kein Einsatz von High Frequency Oscillatory Ventilation<\/li>\n<li>Muskelrelaxanzien f\u00fcr \u226448 h bei paO2\/FIO2 &lt;150mmHg<\/li>\n<li>restriktive Volumengabe, wenn keine Hypoperfusion vorliegt<\/li>\n<li>keine \u03b22-Agonisten, au\u00dfer bei Bronchospasmus<\/li>\n<li>kein Routineeinsatz des Pulmonaliskatheters<\/li>\n<li>beim beatmeten Patientenmit respiratorischemVersagen ohne ARDS: Einsatz niedriger Tidalvolumina<\/li>\n<li>Oberk\u00f6rperhochlagerung 30\u201345 Grad beim beatmeten Patienten<\/li>\n<li>Spontanatmungsversuche<\/li>\n<li>Weaning-Protokoll<\/li>\n<\/ul>\n<hr \/>\n<p style=\"text-align: justify;\"><span style=\"color: #800000;\"><strong>ANALGOSEDIERUNG<\/strong><\/span><\/p>\n<ul>\n<li style=\"text-align: justify;\">minimal m\u00f6gliche Analgosedierung<\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong>GLUCOSEKONTROLLE<\/strong><\/span><\/p>\n<ul>\n<li>Protokoll zur Glucosekontrolle; <strong>Insulintherapie,wenn 2 Messungen einen Glucosewert &gt;10 mmol\/l (&gt;180 mg\/dl)<\/strong> ergeben<\/li>\n<li><strong>initial engmaschige Kontrolle 1- bis 2-st\u00fcndlich<\/strong> bis Infusionsraten von Glucose und Insulin stabil, sp\u00e4ter\u00a04-st\u00fcndlich<\/li>\n<li>POC-Messungen mit Referenzmethode \u00fcberpr\u00fcfen<\/li>\n<li>Blutentnahme bevorzugt aus arteriellem Katheter<\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong>THROMBOSEPROPHYLAXE<\/strong><\/span><\/p>\n<ul>\n<li>Empfehlung f\u00fcr niedermolekulare Heparine (bevorzugt) und unfraktioniertes Heparin unter\u00a0Beachtung der Kontraindikationen<\/li>\n<li>Kombination von <strong>pharmakologischer und mechanischer Prophylaxe<\/strong> bei schwerer Sepsis<\/li>\n<li>bei Kontraindikation zumedikament\u00f6ser Prophylaxe Anwendung physikalischer Ma\u00dfnahmen<\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #800000;\"><strong>STRESSULKUSPROPHYLAXE<\/strong><\/span><\/p>\n<ul>\n<li>bei Risikofaktoren f\u00fcr gastrointestinale Blutungen<\/li>\n<li>Anwendung von Protonenpumpenblocker oder H2-Blocker<\/li>\n<li>keine Stressulkusprophylaxe bei Patienten ohne Risiko f\u00fcr gastrointestinale Blutungen<\/li>\n<\/ul>\n<hr \/>\n<p><strong>Literatur zum Nachlesen:<\/strong><\/p>\n<blockquote><p><strong>Rhodes A et al.,\u00a0Surviving Sepsis Campaign: International\u00a0Guidelines for Management of Sepsis and Septic\u00a0Shock: 2016. Crit Care Med 2017;\u00a0DOI: 10.1097\/CCM.0000000000002255 (<a href=\"http:\/\/journals.lww.com\/ccmjournal\/Abstract\/publishahead\/Surviving_Sepsis_Campaign___International.96723.aspx\" target=\"_blank\">PDF<\/a>)<br \/>\n<\/strong><strong>Rhodes A et al.,\u00a0Surviving Sepsis Campaign: International\u00a0Guidelines for Management of Sepsis and Septic\u00a0Shock: 2016. Intensive\u00a0Care Med 2017;\u00a0DOI 10.1007\/s00134-017-4683-6<br \/>\n<\/strong><strong>Briegel J, M\u00f6hnle.\u00a0Internationale Leitlinien der\u00a0Surviving Sepsis Campaign Update 2016. Anaesthesist 2017;\u00a0DOI 10.1007\/s00101-017-0299-z<\/strong><\/p><\/blockquote>\n<hr \/>\n<p><strong><a href=\"https:\/\/twitter.com\/news_papers_eu?refsrc=email&amp;s=11\" target=\"_blank\">News-Papers.eu auf TWITTER<\/a>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<a href=\"http:\/\/news-papers.eu\/follow\" target=\"_blank\">Follow news-papers.eu<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Die 2016er\u00a0&#8222;Surviving Sepsis Campaign&#8220; Empfehlungen zur Behandlung der Sepsis sind publiziert worden. Wir sind bereits in einem ersten Teil auf einige Punkte eingegangen, nun weitere Aspekte:\u00a0Lesen Sie die komplette Leitlinie [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":3748,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[57],"tags":[934,67,808],"class_list":["post-4297","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sepsis","tag-empfehlungen-2017","tag-sepsis","tag-surviving-sepsis-campaign"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=500%2C343&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-17j","jetpack-related-posts":[{"id":14425,"url":"https:\/\/news-papers.eu\/?p=14425","url_meta":{"origin":4297,"position":0},"title":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 5","author":"Michael Bernhard","date":"Oktober 15, 2021","format":false,"excerpt":"Nun zu Teil 5 der\u00a0Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). (PDF) Hier ganz\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"https:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"Sepsis","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":3737,"url":"https:\/\/news-papers.eu\/?p=3737","url_meta":{"origin":4297,"position":1},"title":"Surviving Sepsis Campaign 2017 &#8211; Teil 1","author":"Michael Bernhard","date":"April 11, 2017","format":false,"excerpt":"Die 2016er\u00a0\"Surviving Sepsis Campaign\" Empfehlungen zur Behandlung der Sepsis sind publiziert worden: Rhodes A et al.,\u00a0Surviving Sepsis Campaign: International\u00a0Guidelines for Management of Sepsis and Septic\u00a0Shock: 2016. Crit Care Med 2017;\u00a0DOI: 10.1097\/CCM.0000000000002255 (PDF) oder Rhodes A et al.,\u00a0Surviving Sepsis Campaign: International\u00a0Guidelines for Management of Sepsis and Septic\u00a0Shock: 2016. Intensive\u00a0Care Med 2017;\u00a0DOI\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"https:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-23-um-07.57.24-e1485154716876.png?fit=500%2C343&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":14419,"url":"https:\/\/news-papers.eu\/?p=14419","url_meta":{"origin":4297,"position":2},"title":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 3","author":"Michael Bernhard","date":"Oktober 10, 2021","format":false,"excerpt":"Nun zu Teil 3 der\u00a0Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). 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(PDF) Hier ganz\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"https:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"Sepsis","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1200%2C1148&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":3747,"url":"https:\/\/news-papers.eu\/?p=3747","url_meta":{"origin":4297,"position":4},"title":"Surviving Sepsis Campaign &#8211; Guidelines 2017 &#8211; 4th Edition","author":"Michael Bernhard","date":"Januar 25, 2017","format":false,"excerpt":"Gerade sind die neuen Surviving Sepsis Campaign Guidelines 2017\u00a0erschienen: Gesamte Leitlinie\u00a0(67 Seiten, 655 Literaturstellen):\u00a0 Rhodes A et al.,\u00a0Surviving Sepsis Campaign: International\u00a0Guidelines for Management of Sepsis and Septic\u00a0Shock: 2016. 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